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Fatal head injury caused by a crossbow arrow with unusually preserved posttraumatic volitional activity – case report


Authors: Hynek Řehulka 1;  Eva Čechová 1;  Jitka Mottlová 1;  Martin Valenta 2;  Zdeněk Mareška 2
Authors place of work: Ústav soudního lékařství FN a LF UK, Plzeň 1;  Kriminalistický ústav Policie České republiky, Praha 2
Published in the journal: Soud Lék., 61, 2016, No. 1, p. 2-4
Category: Original Article

Summary

The authors deal with a case of suicidal attempt resulting in a fatal head injury. A young man shot himself with a serially produced mechanical sports crossbow. The young man with a critical intracranial injury, a penetration, was nevertheless capable of basic locomotive activity, as well as of coherent communication with another people present at the scene. The critically injured patient was transported from the scene directly to medical centre where he subsequently underwent a neurologic surgery. On the eight day after the incident he died in the hospital as a result of sustained wounds. During the autopsy, a penetrating arrow-shot wound head injury was certified, occurring in the right and left temple area. Signs of a complex decompressive craniectomy were established too. The shooting channel was generally horizontally oriented, extending from the right to the left side, from behind in a 10 up to 15 degrees angle to the frontal plane, penetrating the brain from the right temple lobe and the frontal lobe, thereby pervading also frontal horns of lateral ventricles, and from the left afflicting the frontal lobe on the left side of the brain. In the course of the shooting channel, brain contusion occurred, accompanied by intraventricular haemorrhage. In addition, a heavy cerebral oedema, multiple secondary malacias, Durett haemorrhages and extensive thrombosis of cerebral sinuses were stated. In the course of police investigation, based mainly on the information given by the wounded man right after he had been found at the scene, it was revealed that another person might have been involved. The forensic autopsy, the investigation of the Police and the subsequent criminalist-ballistics expert investigation, supported by a series of experimental substitutive target shots, didn’t, however, decidedly prove that any other culprit had been involved.

Keywords:
mechanical firearm – crossbow – intracranial injury – suicide – volitional activity


Zdroje

1. Beran M. Experimentální poranění mechanickou střelnou zbraní. Martin, Ústav súdneho lekárstva JLF UK a MFN, Doktorandská dizertačná práca, 1998.

2. Besler K, Kleiber M, Zerkowski HR, et al. Non-lethal penetrating cardiac injury from a crossbow bolt. Int J Legal Med 1998; 111: 88- 90.

3. Byard RW, Koszyca B, James R. Crossbow suicide: mechanisms of injury an neuropathological findings. Am J For Med Pathol 1999; 20(4): 347-353.

4. Karger B et al. Experimental arrow wounds: ballistics and traumatology. J Traum Inj Inf Critic Care 1998; 45(3): 495-501.

5. Karger B, Bratzke H, et al. Crossbow homicides. Int J Legal Med 2004; 118: 332-336.

6. Madhok B, M Dutta, DD, Yeluri S. Penetrating arrow injuries in western India. Inj Int J Care Injured 2005; 36: 1045-1050.

7. Malachovský I, Straka L, Novomeský F, et al. Atypické strelné poranenie maxilofaciálnej oblasti. Soud Lék 2011; 56(1): 2 – 4.

8. Olasoji HO, Tahir AA. Penetrating arrow injuries of the maxillofacial region. Br J Oral Maxilofac Surg 2005; 43: 329-332.

9. Opeskin K, Burke M. Suicide using multiple crossbow arrows. Am J Forensic Med Pathol 1994; 15(1): 14-17.

10. Pomara C, D´Errico S, Neri M. An unusual case of crossbow homicide. Forens Sci Med Pathol 2007; 3: 124-127.

11. Shadid O, Simpson M, Sizer J. Penetrating injury of the maxillofacial region with an arrow: an unsuccessful attempt of suicide. Br J Oral Maxilofac Surg 2008; 46: 244-246.

12. Suess O, Kombos T, Suess S, et al. Self-inflicted intracranial injury caused by a crossbow arrow. Eur J Trauma 2002; 28: 310-313.

Štítky
Anatomical pathology Forensic medical examiner Toxicology
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